Meridian Infectious Disease Consultants, PLLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

MERIDIAN INFECTIOUS DISEASE CONSULTANTS, PLLC

Practice address

6100 Harris Pkwy Ste 205
Fort Worth, TX 76132-4131

Phone

(817) 841-9447

NPI assigned

Jul 9, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ceres Tiu, MDNPI 1891981171

Title

Owner / Provider

Phone

(817) 718-6648

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ceres Tiu, M.D.

  • Infectious Disease Physician
  • Fort Worth, TX
  • NPI 1891981171
  Medicare reassignment NPD Authorized official
• Steven B Sotman, M.D.

  • Infectious Disease Physician
  • Fort Worth, TX
  • NPI 1114971132
  NPD
• Kavitha Shashikumar, M.D.

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fort Worth, TX
  • NPI 1497858435

  Infectious Disease

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684454400000",
    "number": "1154992170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 S. HULEN ST. #858",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761091514",
            "telephone_number": "817-718-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY STE 205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324131",
            "telephone_number": "817-841-9447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN INFECTIOUS DISEASE CONSULTANTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A",
        "authorized_official_last_name": "TIU",
        "authorized_official_first_name": "CERES",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "817-718-6648",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Infectious Disease Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Infectious Disease Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.